Diplopia was the most common eye symptom in patients with intracranial aneurysms.
Ocular warnings of a silent killer: A case series on intracranial aneurysms.
Anjali Gadde … Virna M Shah
Indian journal of ophthalmology · 2026
Purpose
To describe the neuro-ophthalmic presentations of intracranial aneurysms (intracranial aneurysms) and highlight the critical role of ophthalmologists in early detection.
Methods
A retrospective, unicentric study of patients with intracranial aneurysms who presented to our neuro-ophthalmology clinic at a tertiary eye care center over 6 months (February-August 2024).
57%
Results
57%
diplopia was the most common eye complaint, more common than blurred vision
More results
Among these seven patients, the mean age was 58.9± 19.4 years (range 23-83).
Systemic comorbidities like diabetes and hypertension were present in 42.8%.
Visual field examination revealed right homonymous hemianopia in 14.2%.
Saccular morphology was predominant (71.4%) compared to fusiform aneurysms (28.5%).
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Conclusion · 1 of 3
Intracranial aneurysms may initially present with neuro-ophthalmic signs such as isolated cranial nerve palsies or compressive optic neuropathy.
Conclusion · 2 of 3
Timely imaging and multidisciplinary intervention are crucial to prevent permanent visual loss and life-threatening complications like rupture and subarachnoid hemorrhage.
Conclusion · 3 of 3
Ophthalmologists are pivotal in the early diagnosis of such potentially fatal conditions.